Lund Oil, Inc.
Full Name:Date:
Address:
Date Available:
Position Applied for:
Are you a citizen of the United States?YesNoIf no, are you authorized to work in the U.S.?YesNo
Have you ever worked for this company?YesNo
Have you ever been convicted of a felony?YesNo
From*:To*:Did you graduate?YesNo
From:To:Did you graduate?YesNo
Please list three professional references
From:To: May we contact your previous supervisor for a reference?YesNo
From:To:
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
I agree and accept.
